Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.05 / $291.39 / $1,400.00	Facility		$252.05	$291.39	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $377.56 / $516.26	Professional		$252.05	$377.56	$516.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.44 / $285.83 / $311.42	Facility		$262.44	$285.83	$311.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.82 / $278.39 / $354.94	Professional		$276.82	$278.39	$354.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.83 / $420.83 / $420.83	Facility		$420.83	$420.83	$420.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.88 / $522.78 / $1,178.68	Professional		$284.88	$522.78	$1,178.68
United Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $511.34 / $833.96	Professional		$223.60	$511.34	$833.96